Individual
ERIN N GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MHSP
Contact information
Practice address
26 MIDWAY ST, BRISTOL, TN 37620-1706
(423) 989-4500
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5671
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5671
LICENSE
TN
Enumeration date
06/07/2022
Last updated
06/07/2022
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